Child development with special needs

Question 1

what is global developmental delay?

Answer 1

2 or more domains affected

performance is 2 standard deviations below the mean age aproraite based on norm-reference testing

Question 2

what is learning disability?

Answer 2

significant impairment in intellectual function and affects the persons ability to learn and problem solve in daily living

Question 3

what legal document can be related for a child with developmental delay for additional support learning ?

Answer 3

co-ordinated support plan

Question 4

what are the 3 main components of additional support learning?

Answer 4

coordinated support plan
individualised education plan
personal learning plan

Question 5

how do you assess a child development?

Answer 5

history and exam 
red book 
developmental milestones 
environment, social and family history 
video recordings of child 
observation

Question 6

what primary care tools can be used to screen for developmental delay?

Answer 6

M-CHAT - checklist for autism in toddlers
ASQ - ages and stages questionnaire
PEDS - parental evaluation of development status
SOGS-2 - schedule of growing skills

Question 7

what screening tools can be used to investigate developmental delay in secondary care?

Answer 7

griffiths mental development scales
baileys scale of infant development
Wechsler preschool and primary scales of intelligence

Question 8

when investigating the cause of a childs developmental delay. what do you assess in the general examination?

Answer 8

head circumference 
sit and standing from supine position 
dysmorphic features
skin abnormalities 
movement quality 
eye movements and examinations
ophthalmology 
audiology 
CVS, resp, abdo 
observe behaviour

Question 9

when investigating the cause of a childs developmental delay, what is involved in the 1st line investigations?

Answer 9

chromosomes
fragile X
CK 
thyroid function tests 
FBC 
U&E's
urate 
ferritin 
lead 
biotinidase